Biggs Kristen L, Chiou Andy C, Hagino Ryan T, Klucznik Richard P
University of Texas Health Science Center, San Antonio, USA.
J Vasc Surg. 2004 Jul;40(1):170-3. doi: 10.1016/j.jvs.2004.03.018.
Dissection of the internal carotid artery is an under-recognized cause of transient ischemic attack and cerebral vascular accident. Spontaneous dissections, in which no precipitating cause can be identified, occur infrequently. Endovascular intervention is an evolving treatment option in patients in whom anticoagulation therapy alone is not adequate, who are not suitable candidates for major surgery, or who have extremely distal dissections that are difficult to access. We report a case of successful endovascular stenting and coil application in a patient with spontaneous dissection of the distal cervical internal carotid artery with extension to its petrous portion and an accompanying pseudoaneurysm at the level of the skull base.
颈内动脉夹层是短暂性脑缺血发作和脑血管意外的一种未被充分认识的病因。无法确定诱发原因的自发性夹层很少见。对于单独抗凝治疗不足、不适合进行大型手术或夹层位于极远端难以处理的患者，血管内介入是一种不断发展的治疗选择。我们报告了一例成功进行血管内支架置入和弹簧圈栓塞的病例，该患者为颈内动脉远端自发性夹层并延伸至岩骨段，同时在颅底水平伴有假性动脉瘤。
